You cannot submit the form electronically because it has to be signed.

Visit or call the Service des demandes de logement et de référence to obtain a printed copy of the form. Tel.: 514 868-5588 Fax: 514 868-5966 Email: Click here to send an email to the Service des demandes de logement et de référence

You can also visit any Accès Montréal office to obtain a printed copy of the form.